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Individual

MRS. ADIJA MEMBOUP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
24 HOSPITAL AVE, DANBURY, CT 06810-6077
(917) 873-5185
Mailing address
24 HOSPITAL AVE, DANBURY, CT 06810-6077
(917) 873-5185

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
008489
NY
363A00000X
Physician Assistant
5545
CT

Other

Enumeration date
12/27/2006
Last updated
05/07/2022
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